JOHN JAY SHANNON M.D.
NPI 1104845734
Internal Medicine in Chicago, IL

Active since July 18, 2006
1900 W POLK ST, SUITE 220, CHICAGO, IL 60612(312) 864-5504(312) 864-9994 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Jay Shannon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN JAY SHANNON M.D. (NPI 1104845734) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036079704) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104845734
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN JAY SHANNONCredential: M.D.
Location Address1900 W POLK ST, SUITE 220Chicago, IL 60612-3723
Mailing Address1900 W Polk St, Suite 220Chicago, IL 60612-3723 · (312) 864-5504 · Fax (312) 864-9994
Fax(312) 864-9994
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 3, 2017
NPI 1104845734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IL · 036079704 Licensed in TX · H2772
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036079704 (IL), H2772 (TX)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036079704 (IL), H2772 (TX)
1900 W POLK ST, Chicago, IL 60612

Other Identifiers 1

Medicare UPINE05107IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Pediatrics
1900 W POLK ST
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Shannon's NPI number?

The NPI number for John Shannon is 1104845734. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Shannon located?

John Shannon practices at 1900 W Polk St Suite 220, Chicago, IL 60612. The listed phone number is (312) 864-5504.

What is John Shannon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for John Shannon was last updated on March 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.